NCCC Adult Ed Online Registration
Fill out form below and register for your Adult Ed class online.

***Failure to withdraw from class 5 business days before the start will result in being billed 25% of the class.***

Email address *
Name *
Your answer
Phone Number *
Your answer
Mailing Address (please include Town & Zip Code) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Please add my information to the: *
Highest Level of Education: *
Select Course(s) *
Required
Release of Information: *
Yes
No
I give my permission to North Country Career Center - Adult Education Office to use my picture for advertising the program which I am currently enrolled.
Select Method(s) of Payment *
Required
Employer if Employer Funded
Your answer
Comments
Your answer
How did you learn about our course offerings? *
A copy of your responses will be emailed to the address you provided.
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